Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation

Negrini S, Selb M, Kiekens C, Todhunter-Brown A, Arienti C, Stucki G, Meyer T (2022)
Neurorehabilitation and Neural Repair 36(7): 405-414.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Negrini, Stefano; Selb, Melissa; Kiekens, Carlotte; Todhunter-Brown, Alex; Arienti, Chiara; Stucki, Gerold; Meyer, ThorstenUniBi
Abstract / Bemerkung
Since its foundation, Cochrane Rehabilitation has faced challenges with rehabilitation definitions because existing definitions did not indicate what rehabilitation includes and what it excludes. We aimed to develop a comprehensive and shared rehabilitation definition for research purposes to: (1) support the conduct of primary studies and systematic reviews, and (2) identify relevant systematic reviews for knowledge translation purposes. We performed a multimodal study including seven preliminary research and discussion papers, four Consensus Meetings, and three Delphi rounds with 80 rehabilitation stakeholders. The Delphi Study aimed to obtain agreement, refine and complete the items composing the definition and meanings of rehabilitation. These stakeholders covered 5 continents, representing 11 global and continental rehabilitation organizations, 11 scientific journals, 4 Cochrane Networks, and 3 Cochrane Groups, and included invited experts, and representatives of low middle-income countries and consumers. We had a 70% to 82.5% response rate to the three Delphi rounds, during which participants responded to all items (100%) and provided relevant comments (range 5.5-50% per item). This participation led to several refinements to the rehabilitation definition through three preliminary versions, and the final items reached an agreement between 88.9% and 100%. We structured the definition using the PICO (Population, Intervention, Comparison, Outcome) framework. We concluded that "In a health care context," rehabilitation is defined as a "multimodal, person-centered, collaborative process" (Intervention-general), including interventions targeting a person's "capacity (by addressing body structures, functions, and activities/participation) and/or contextual factors related to performance" (Intervention-specific) with the goal of "optimizing" the "functioning" (Outcome) of "persons with health conditions currently experiencing disability or likely to experience disability, or persons with disability" (Population). Rehabilitation requires that all the items of the definition are satisfied. We defined a "rehabilitation intervention" as "any intervention provided within the rehabilitation process." We developed a rehabilitation definition for research purposes achieving a broad agreement with global stakeholders. This definition provides explicit criteria to define rehabilitation. Using the proposed definition will improve rehabilitation research by standardizing the description of interventions. Our definition may require revision in the future, as further research enhances understanding and communication of the essence and complexity of rehabilitation.
Erscheinungsjahr
2022
Zeitschriftentitel
Neurorehabilitation and Neural Repair
Band
36
Ausgabe
7
Seite(n)
405-414
eISSN
1552-6844
Page URI
https://pub.uni-bielefeld.de/record/2963192

Zitieren

Negrini S, Selb M, Kiekens C, et al. Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation. Neurorehabilitation and Neural Repair. 2022;36(7):405-414.
Negrini, S., Selb, M., Kiekens, C., Todhunter-Brown, A., Arienti, C., Stucki, G., & Meyer, T. (2022). Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation. Neurorehabilitation and Neural Repair, 36(7), 405-414. https://doi.org/10.1177/15459683221093587
Negrini, S., Selb, M., Kiekens, C., Todhunter-Brown, A., Arienti, C., Stucki, G., and Meyer, T. (2022). Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation. Neurorehabilitation and Neural Repair 36, 405-414.
Negrini, S., et al., 2022. Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation. Neurorehabilitation and Neural Repair, 36(7), p 405-414.
S. Negrini, et al., “Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation”, Neurorehabilitation and Neural Repair, vol. 36, 2022, pp. 405-414.
Negrini, S., Selb, M., Kiekens, C., Todhunter-Brown, A., Arienti, C., Stucki, G., Meyer, T.: Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation. Neurorehabilitation and Neural Repair. 36, 405-414 (2022).
Negrini, Stefano, Selb, Melissa, Kiekens, Carlotte, Todhunter-Brown, Alex, Arienti, Chiara, Stucki, Gerold, and Meyer, Thorsten. “Rehabilitation Definition for Research Purposes. A Global Stakeholders' Initiative by Cochrane Rehabilitation”. Neurorehabilitation and Neural Repair 36.7 (2022): 405-414.

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